MEDICARE: ALEXANDRA SHARP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LGP17638	MD

General Provider Information

NPI Number	:	1073460143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA SHARP

Provider Business Mailing Address
First Line	:	2778 SAINT JOHNS LN
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-2539
Country	:	US
Telephone Number	:	443-821-0425
Fax Number	:

Provider Business Practice Location Address
First Line	:	2778 SAINT JOHNS LN
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-2539
Country	:	US
Telephone Number	:	443-821-0425
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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Directions to “ ALEXANDRA SHARP ” Practice Location

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